Organization Active NPI

Lester Dierksen Memorial Hospice LLC

Doing business as Dierksen Hospice

  • Community Based Hospice Care Agency
  • Hot Springs, AR
National Provider Identifier
1730216359
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LESTER DIERKSEN MEMORIAL HOSPICE LLC
Doing business as
Dierksen Hospice
Practice address
3954 Central Ave Ste H
Hot Springs, AR 71913-7298
Phone
(501) 318-1500
Fax
(501) 318-1507
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jesse R Moore
Title
Chief Administrative Officer
Phone
(857) 331-6271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

3954 Central Ave Ste H
Hot Springs, AR 71913-7298

Mailing address

500 Faulconer Dr Ste 200
Charlottesville, VA 22903-5089
Phone (434) 977-9711

Other identifiers 2

IdentifierTypeStateIssuer
166706747MedicaidAR
AR5972OtherARSTATE LICENSE

Other names 1

  • DIERKSEN HOSPICE Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070911000154 AR Part A Provider - Hospice 6103919915 1 other NPI on this enrollment
Practice locations: Jonesboro, AR; Marion, AR; Hot Springs, AR

Hospice certification: CCN 041575

Legal name
LESTER DIERKSEN MEMORIAL HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 13, 2007
Last certification
Dec 5, 2016
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jan 20, 2006 in AR
Enrollment address
3954 Central Ave
Ste H
Hot Springs, AR 71913-7298

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Lester Dierksen Memorial Hospice, LLCCCN 041575 · All quality measures
Ownership
For-Profit
Certified
Sep 13, 2007
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D1066545Lester Dierksen Memorial Hospice LLC3954 Central Ave, Suite H, Hot Springs, AR 71913Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Dierksen Memorial Hospice5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

303 Bancario
Ste 101
Marion, AR 72364

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tina Haney Individual W-2 Managing EmployeeAd; Oct 6, 2020
THL Equity Fund VIII Investors (Hospice Care), L.P. Organization, Boston, MA Investment firm, For-profit, Private equity company 5% Or Greater Indirect Ownership Interest Dec 9, 2020 29.16%
Jesse Reo Moore Individual Corporate Officer May 26, 2021
W-2 Managing EmployeeChief Administrative Officer May 26, 2021
Care Hospice, Inc. Organization, Charlottesville, VA Holding company, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2014 100%
Thomas H. Lee Equity Fund VIII, L.P. Organization, Boston, MA Investment firm, For-profit, Private equity company 5% Or Greater Indirect Ownership Interest Dec 9, 2020 15.07%
Thomas H. Lee Parallel Fund VIII, L.P. Organization, Boston, MA Investment firm, For-profit, Private equity company 5% Or Greater Indirect Ownership Interest Dec 9, 2020 27.44%
Care Hospice Acquisition, Inc. Organization, Boston, MA Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 13, 2017 100%
Hospice Care Buyer, Inc. Organization, Boston, MA Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 9, 2020
Hospice Care Holdings, L.P. Organization, Boston, MA Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 9, 2020 100%
Bart K Valdez Individual Corporate OfficerCeo Jan 6, 2025
W-2 Managing EmployeeCeo Jan 6, 2025
Douglas Maglothin Individual Contracted Managing EmployeeMD; May 1, 2019
Hospice Care Intermediate I, Inc. Organization, Boston, MA Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 9, 2020 100%
Grant Brown Individual Corporate OfficerCfo Dec 10, 2021
W-2 Managing EmployeeExecutive Vice President Apr 13, 2017
John B Hunter Individual 5% Or Greater Indirect Ownership Interest Apr 13, 2017 9.42%
Hospice Care Intermediate II, Inc. Organization, Boston, MA Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 9, 2020 100%
Dana K Reid Individual Corporate OfficerSVP Compliance, Regulatory, Privacy Jan 4, 2025
W-2 Managing EmployeeSVP Compliance, Regulatory, Privacy Jan 4, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 38

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 38

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1730216359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FAULCONER DR STE 200",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229035089",
            "telephone_number": "434-977-9711",
            "fax_number": "434-235-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3954 CENTRAL AVE STE H",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719137298",
            "telephone_number": "501-318-1500",
            "fax_number": "501-318-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESTER DIERKSEN MEMORIAL HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "857-331-6271"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166706747",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AR5972",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "DIERKSEN HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.